Individual provider · NPI-1

Priscilla Abraham, PA-C

Physician Assistant · Fort Worth, TX

NPI number1174310064
StatusActive
Last updated in NPPESSep 14, 2026

Details

NPI
1174310064
Entity type
Individual (NPI-1)
Name
Priscilla Abraham
Credential
PA-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 23, 2025
Certification date
Sep 14, 2026
Last updated
Sep 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantPA19154TXYes

Practice location

4701 Boat Club Rd Ste 200
Fort Worth, TX 76135-5285

Phone 817-237-0515 · Fax 817-237-0515

Mailing address

301 University Blvd
Galveston, TX 77555-5302

Other practice locations

301 University Blvd
Galveston, TX 77555-5302

Phone 409-772-3048

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